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    Hospice Program License

    Agency: Licensing and Regulatory Affairs

    The Michigan Department of Licensing and Regulatory Affairs, Bureau of Health Care Services has an agreement with the U.S. Department of Health and Human Services (HHS) to assist in determining whether health care programs are operating and remaining in compliance with the federal Medicare Conditions of Participation to qualify for Medicare payments. This includes the requirements for reimbursement, including financial solvency; and the requirements of Title VI of the Civil Rights Act of 1964. There are no licensure fees.

    New!  Applications for these tasks are submitted and paid for online through the Michigan Business One Stop portal.


    A. NAME OF LICENSE OR APPROVAL:

    Health Facility License -- Hospice

    B. STATUTORY AUTHORITY:

    Public Act 368 of 1978, as amended

    C. APPLICABLE REGULATION:

    PHC & R325.13101-13307

    D. SUMMARY OF LICENSE/APPROVAL PROCESS:

     1.  Applicability (activities that require the license)

    To serve patients that have been diagnosed with a terminal illness and choose to receive hospice care.

     2.  Pre-Application Requirements

    Medical staff scheduled to start, admission materials, key policies, inpatient care contract in place.

     3.  Application Submission Requirements

    Health Facility/Agency Licensure Application (BHCS-HFD-100)
    Hospice Licensure Appendix (BHCS-HFD-100A)
    Hospice Licensure Exemption Appendix (BHCS-HFD-100A1)

     4.  Procedures and Time-Frame for Obtaining Permit or Approval

    Contact the Department of Licensing and Regulatory Affairs, Bureau of Health Care Services, Health Facilities Division at 517-241-4160 to obtain an application for a new Hospice program. A pre-licensure survey is conducted 1-2 weeks before a facility is ready to see patients.

     5.  Operational Requirements

    Patient care plan directed by licensed physicians/nurses and license.

     6.  Fees

    Waived at this time.

     7.  Appeal Process

    MCL 333.20166

     8.  Public Input Opportunities

    N/A


    E. Contact Information:

    Contact Us

     Revised:  September 2013 

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